Review of modern medical information systems. Classification of medical information systems. Additional automation capabilities

2.1. BASIC TERMS AND DEFINITIONS

During the period of electronic presentation of information, computer systems become a tool of labor, for which information is the object and result, and collective access to this information becomes the most common way of organizing production. Thus, the purpose of computer systems is gradually shifting from the automation of manual labor of individual workers to the informatization of the activities of all personnel. Information is becoming the main corporate resource.

In medicine, ensuring timely access to information becomes critical when it comes to people's lives. Possession of the necessary information, current or historical, is often the only thing that a doctor lacks in order to provide the patient with the necessary medical care in a timely and qualified manner. Routine document flow, lost copies of documents, geographically dispersed information about the same patient, lack of qualified search methods - all this takes time and energy from medical specialists and significantly reduces the effectiveness of their activities.

In addition, the amount of information that a doctor must constantly keep in mind in order to be able to assess the condition of each patient is certainly enormous. When the amount of processed information exceeds the value of some critical parameter, individual for each person, the ordering and systematization of this information becomes impossible. To keep the ability to processcontinuously increasing volumes of data, a transition to a new method of collecting and processing information is necessary, which can be considered as some kind of individual information revolution, the result of which should be the beginning of the use of a new tool in the professional activity of a specialist - an information system.

Let's try to define what is meant by an information system. The official definition of the concept of "information system" is given in the "Federal Law on Information, Informatization and Protection of Information" (N24-O3, adopted by the State Duma on 25.01.95, signed by the President of the Russian Federation on 20.02.95): "Information system is an organizationally ordered set of documents (arrays of documents) and information technology, including the use of computer technology and communication, implementing information processes. "

Within the framework of this manual, we will use the following definition: “ Information system -it is a complex of methodological, software, technical, informational and organizational tools that support the functioning of an informatized organization. "

Depending on whether it functions independently (without human participation) or not, the information system can be automaticor automated.

Automated information the system provides the ability to perform both manual and automated processes. The user (operator), which is a link in such a system, and computer facilities work together to process and further use information.

Since the medical and diagnostic process cannot proceed without the participation of a person (doctor), in the future we will mean only automated systems.

The introduction into medical practice and the development of computer hardware and software will be called automation of the treatment and diagnostic process.

Hence, the following definition of a medical information system can be given: “ Medical Information System (MIS)- is a set of software and hardware tools, databases and knowledge designed to automate the processes taking place in a medical institution. "

Open medical information systems.The definition of "open" MIS means that they implement procedures for the exchange of medical and economic documents with other systems that meet generally accepted rules and standards. To implement the openness of medical information systems, it is necessary to first develop rules and standards for their interaction. Ideally, two open medical information systems can interact without any additional effort on the part of their developers.

We emphasize that opennesssystems in this case does not mean the general availability of the information stored in them. The owners of each system decide for themselves which information can and cannot be transferred to other institutions.

2.2. MAIN GOALS OF CREATING IIA

The main goal of informatization of health care in general can be formulated as follows (Concept of informatization of health care): the creation of new information technologies at all levels of health care management and new medical computer technologies that increase the quality of preventive care and contribute to the implementation of the main function of protecting public health - increasing the duration of active life.

In addition to the designated main goal, the IIA faces a number of interrelated and very important tasks, among which the following can be noted:

Creation of a single information space to accelerate access to information and improve the quality of medical records;

Monitoring and managing the quality of medical care in order to reduce the likelihood of medical error and eliminate redundant prescriptions;

Increasing the transparency of the medical institution's activities and the effectiveness of management decisions;

Analysis of the economic aspects of the provision of medical care is a very important task for domestic health care, which is moving to a commercial basis;

Reducing the time of examination and treatment.

2.3. FUNCTIONAL CAPABILITIES OF THE IIA

The main features of the IIA include:

Collecting, registering, structuring and documenting data;

Ensuring information exchange and creating an information space;

Information storage and retrieval;

Statistical data analysis;

Monitoring the effectiveness and quality of medical care;

Decision support;

Analysis and control of the institution's work, management of the institution's resources;

Supporting the economic component of the treatment process;

Training.

Similar information.

Systems of this class are designed to provide information support for making both specific medical decisions and organizing work, monitoring and managing the activities of the entire medical institution. These systems, as a rule, require a local area network in a medical institution and are information providers for medical information systems at the territorial level.

Information systems of consulting and diagnostic centers are intended for the organization of consultative and diagnostic examinations of patients, registration, processing, analysis, accumulation and storage of diagnostic information.

Information systems of polyclinic institutions are intended for organizing and analyzing the work of specialists and medical and diagnostic rooms of the polyclinic, storing information about the population attached to this polyclinic and generating this necessary medical and statistical reporting.

Information systems of medical institutions of stationary type are intended for registration of patients' appeals to the admission department of a hospital, their movement through treatment departments, accumulation of anamnestic, clinical, diagnostic and other information in a database, personalized registration of medicines and the results of a patient's stay in a hospital.

Polyclinic and stationary information systems generate bills - registers for the provided polyclinic and inpatient care, presented for payment to insurance medical organizations.

Territorial level information systems.

These software systems provide management of specialized and profile medical services, polyclinic (including prophylactic medical examination), stationary and emergency medical care to the population at the level of the territory (city, region, republic).

At this level, medical information systems are represented by the following main groups:

Information systems of the territorial health departmentaccumulating and processing information about the work of all medical institutions in the territory.

Personalized registers (databases and data banks) containing information about certain contingents of patients (occupational diseases, diabetes mellitus, narcology, etc.).

Information systems of offices (centers) for the provision of emergency adviceproviding interhospital interaction for remote consultations, departure of specialists and evacuation of patients in order to provide highly qualified and specialized medical care.

Information systems of compulsory health insurance fundsproviding information support for planning and monitoring the financing of medical institutions through the CHI system.

Information systems for the organization and control of drug supply to the population, including - accounting for subsidized medicines.

Federal medical information systems

Systems of this class are intended for information support of the state level of the Russian health care system based on data received from territorial health departments in accordance with approved statistical reporting forms.

IIA functional classification

Information systems (IS) at the level of medical institutions are intended primarily for information support of the main business processes of these institutions and, as a result, for organizing their work at a higher quality level.

These include:

Medical technology IS;

Information and reference systems;

Statistical IS;

Scientific research IS;

Educational IS.

These ICs are used in medical institutions of various levels (from a general practitioner's office to large interregional and federal medical centers), in sanatoriums, diagnostic centers, blood transfusion stations, specialized centers (AIDS, family planning, etc.). Of the greatest interest among them are medical information systems (MIS), which integrate all of the above types of IS, which in this case act as subsystems of the general MIS.

The American Institute of Medical Records identifies 5 distinct levels of medical information systems:

The first level of MIS is automated medical records. This level is characterized by the fact that only about 50% of patient information is entered into the information system and in various forms is issued to its users in the form of reports. This level usually covers patient registration, discharge, hospital transfers, input of diagnostic information, appointments, operations. Information processes here run in parallel with the "paper" document flow and serve, first of all, for the formation of various types of reporting.

The second level of the MIS is the Computerized Medical Record System. At this level, medical documents that have not previously been entered into electronic memory (first of all, this is information from diagnostic devices, obtained in the form of various types of printouts, scans, topograms, etc.), are indexed, scanned and stored in electronic storage systems (as a rule, on magneto-optical drives).

The third level of the IIA is the application of Electronic Medical Records. At this level, an appropriate infrastructure must be developed for entering, processing and storing information from their workplaces. Users are identified by the system and given access rights corresponding to their status. The structure of electronic medical records is determined by the capabilities of their software processing. At this level of MIS development, an electronic medical record plays an active role in the decision-making process and integration with expert systems, for example, when making a diagnosis, choosing medicines taking into account the patient's current somatic and allergic status, etc.

At the fourth level of the MIS, called Electronic Patient Record Systems or Computer-based Patient Record Systems, patient records have many more sources of information. They contain all the relevant medical information about a particular patient, the sources of which can be one or more medical institutions. This level of development requires a national or international patient identification system, a unified system of terminology, information structure, coding, etc.

The fifth level of MIS is called Electronic Health Records. It differs from the system of electronic patient records by the existence of practically unlimited sources of information about the patient's health, which allows accumulating information about his behavioral and social activities (smoking, playing sports, using diets, etc.). In fact, in the MIS of the fifth level, electronic health passports (Long Life Personal Health Record) of the population are accumulated.

According to the current standard, medical information systems must ensure the implementation of the following functions:

Maintaining medical records ("electronic medical records");

Formation of structural and economic descriptions (passports) of health care facilities and their transfer to the consolidated databases of passports of health care facilities, which are maintained in the territorial funds of compulsory medical insurance and territorial health departments;

Registration of patients and maintaining a register of medical services performed under compulsory medical insurance;

Planning and recording of vaccinations performed;

Mutual settlements with health insurance organizations and territorial compulsory medical insurance funds for treated patients;

Maintaining regulatory and reference information;

Operational planning and accounting of medical care resources (bed fund, medical personnel, complex medical equipment, reception rooms, stocks of pharmaceutical goods);

Planning and accounting of medical and diagnostic appointments, as well as referrals to other health care facilities;

Submission of state medical statistical reporting to territorial health departments;

Maintaining a database of registered diagnoses for the formation of statistics of diseases;

Formation of information about the availability of medicines available to patients and keeping records of medicines provided to patients under benefits.

MIS should be a tool that ensures and organizes the work of a medical institution. To do this, it must cover the entire set of information about the medical services provided in it and must provide the opportunity to receive various indicators of the performance of a medical institution, in particular:

Indicators characterizing the processes of providing medical care: timely detection of pathology, validity of hospitalization, timely registration of patients for dispensary registration, analysis of discrepancies in diagnoses, the volume of diagnostic and laboratory tests; adherence to the standards of treatment duration, deviation from the drug formulary during drug therapy; the proportion of paraclinical treatment methods, that is, the compliance of the assistance provided to the standards and treatment protocols.

Outcome indicators (outcomes): reduction in labor losses and incidence of disability; reduction in the duration of treatment, the level of hospitalization, the number of visits to the emergency room; decrease in mortality rates at working age; decrease in the level of morbidity and morbidity as a result of timely and effective clinical examination and a high level of immunization; reduction in the number of "neglected" cases of oncopathology, tuberculosis, etc.

Treatment efficacy indicators: no relapses, complications, re-hospitalizations; compliance of the cost level with the volume of assistance provided; satisfaction of insured patients with the level of care provided; improvement of population health indicators, etc.

It should be noted that in addition to medical ISs, specialized ISs can be operated in medical institutions, for example, ISs of accounting, personnel department, group (department) for the repair and maintenance of medical equipment, etc., as well as specialized image storage systems, specialized diagnostic systems, etc. etc. The modern concept of building medical information systems assumes their close interaction based on standard data exchange protocols such as XML, HL7, DICOM, etc.

At the same time, information interaction between MIS and information systems of other medical organizations should be organized, in particular:

with other health care facilities and sanatoriums;

with territorial health departments and medical departments of ministries and departments;

medical insurance organizations and territorial compulsory medical insurance funds;

bodies of the State Sanitary Epidemiological Surveillance;

medical schools.

This exchange is carried out in accordance with the standards (protocols) of information exchange, known to all participants in such an exchange. The protocols of information exchange in the health care system and the compulsory medical insurance of the Krasnoyarsk Territory are approved by the Conciliation Commission and are part of the Tariff Agreement in the system of compulsory health insurance of the Krasnoyarsk Territory. At the federal level, standards of information exchange are developed and approved by the Ministry of Health and Social Development of the Russian Federation.

An electronic medical record (EMR, Electronic Medical Record, EMR) is an electronic collection of information related to the health of a subject (patient), which is created, stored, maintained and used by certified medical specialists and personnel in one healthcare organization.

Justification of the need to use EMC in the treatment and diagnostic process:

1. Over the past 40-50 years, the amount of information with which a doctor operates has increased several times and continues to grow. On the other hand, the technology for dealing with increased data flows has remained at the level of the middle of the last century. Accordingly, an effective "tool" for processing the ever-growing volume of medical information and a powerful "amplifier" of the doctor's capabilities are needed.

2. With the exception of automation tools for accounting and personnel, most of the information systems implemented in health care facilities are separate programs or their complexes for solving specific specialized tasks. For example, accounting of services and data exchange with insurance companies and compulsory medical insurance funds, registration of mortality, birth registration, registration of the incidence of diabetes mellitus, tuberculosis, etc.

3. For each "accounting", as a rule, a separate special software is supplied, which does not interact in any way or almost in no way with other programs. The more you need to "take into account", the more various programs are being implemented in each health facility and each new program requires entering into "its" database all or part of the information that has already been entered into the database of another program, unreasonably increasing the workload on staff.

4. The doctor, in addition to maintaining a medical record in paper form, is required to fill out statistical coupons, registration forms for patients with newly diagnosed diseases, etc.

The introduction of EMC removes the need to support the "zoo" of accounting programs and the formation of numerous accounting forms, since any report or accounting form can be obtained from the EKM automatically at any time.

The use of modern computer technologies and the introduction of an Electronic Medical Record in a healthcare facility is the most effective mechanism that provides an opportunity to quickly structure, detail, analyze and use all the information recorded in a medical record.

Independent work "Work in MIS Bars"

Access via Mozilla Firefox browser

http://31.13.128.106/med2/

LOGIN: demouser

PASSWORD: demo2010

Cabinet: advisory cabinet

Exercise 1. Get to know all the features of MIS Bars. Note what functions this MIS performs, and, using table "Functions of medical information systems", draw a conclusion to which class of MIS it belongs. Directions: Make your own notes with a plus sign (+). Your conclusion should be written after the table.

	Information systems functions	IP classes
	Information support of the processes of diagnosis, treatment and rehabilitation of patients
	Information support of physicians' activities (pharmacological databases, guidelines for the use of medicines, patient management protocols)
	Personal registration of patients, maintenance and processing of medical documents
	Accounting for medical care and medical services provided to patients, determining the need for basic types of medical care; assessment, control and quality assurance of medical care
	Calculation of standards and tariffs for payment for medical care provided; organization of mutual settlements between healthcare institutions
	Accounting, planning of financial and material resources and management of health care facilities
	Monitoring the state of the medical, demographic and epidemiological situation
	Collection and processing of medical statistics, monitoring of the health status of the population, preparation and submission of state medical statistical reports, analysis of statistical data
	Decision support, including based on modern knowledge bases, inference methods, expert systems, etc.
	Information exchange between health IP, as well as IP of other departments (social protection, education, etc.) in standard exchange formats
	Support for telemedicine technologies (telemonitoring, telemedicine consultations and consultations, video conferencing, access to remote information resources)
	Access to Internet resources; formation and support of our own information Internet resources.
	Support of the processes of education, training and retraining of specialists
	Maintaining a database of regulatory and reference documentation
	Automation of document flow in the institution

Output: __________________________________________________________________

Task 2. Check out the IP menu. Answer the questions (the answer will look like this: Accounting / accounts registers)

In which section, in which menu item can a new patient be registered?
In which section, in which menu item can you make an appointment with a doctor?
In which section, in which menu item can you see the doctors' schedule?
In which section, in which menu item, can you select and view a list of outpatient cards for a certain period of time (for example, the last month)?
In which section, in which menu item, can you view statistics for departments (number of beds in a department, number of patients in a department, etc.)?
In which section, in which menu item can a sick leave be issued to a patient?
In which section, in which menu item can you add / change the structure of medical facilities?

Task 3.Indicate for which user (registrar, doctor, department head, chief physician, information system administrator) this or that section of the information system is intended and why.

Task 4.

Search the patient database: find your namesakes, or surnames similar to yours, take a screenshot.

Assignment 5... Search for another patient (by an arbitrary surname, except for the surname Ivanov, the patient must be registered, otherwise it will not be possible to make an appointment). Make an appointment (payment - by compulsory medical insurance)... Make a screenshot.

Do not close the window that appears.

Task 6. Generate a itinerary for this patient. To do this, press the "Talon" button

Task 7. Find the patient you recorded earlier in the workplace of the chief physician, make a screenshot.

Task 8. In the ACCOUNTING item, view the journal of payments for the current month for cash. Make a screenshot.

The medical information system MEDWORK was developed by the MASTER LAB company to solve a complex of medical and management tasks facing a modern polyclinic and hospital. Today, thanks to twenty years of experience in the operation and development of the system, we can offer a fully functional, scalable and open product - a working tool for the head, doctor and all clinic employees. MIS Medwork meets the requirements of GOST R 52636-2006 "Electronic medical history", follows the recommendations for ensuring functionality MIS MO of the Ministry of Health of the Russian Federation. As part of the support for open source software, integration with and.

Computer program MedWork © designed for the automation of medical institutions of any profile and provides:

• Maintaining medical history and outpatient card
• Coverage of all major stages of the treatment process
• Receiving and processing medical and financial statistics
• Preparation and printing of statements
• Planning appointments, medical work
• Patient billing and accounting of services rendered
• Disability leaflet printing automation
• Interaction with organizations and insurance companies on CHI and VHI
• Design and formation of output reporting forms
• Applicable in all types of hospitals due to:

1. Full user customization of all input and statement forms
2. Ease of administration and training
3. Scalability of the system from use in a first-aid post to a large clinic, diagnostic center, hospital from several buildings
4. Flexibility and convenience of the system in setting up user profiles, in integration with existing programs, export-import of data from existing programs
5. The openness of the system for revision and maintenance both by the clinic staff and by third-party developers

Medical history

In Medwork, the History of a Patient's Illness is presented in the form of a patient card, which is familiar to doctors, consisting of a set of documents (forms). Documents can contain data of various kinds: text, images, tables, diagrams, etc.

This allows you to electronically store any information about the patient and the course of treatment, including:

• survey results;
• descriptions of the patient's functional state, diagnoses;
• information about operations, procedures;
• laboratory analysis data;
• treatment bills;
• images taken from medical devices, a scanner, or a digital camera.

Filling out the card is significantly accelerated through the use of formalized treatment schemes and updated and customizable reference books.

A user-friendly interface with the ability to group and sort documents allows the doctor to quickly find necessary information in the patient record.

Data from devices (ultrasound, cardiogram, analyzes, etc.) can be directly transferred to the patient's record using a special interface.

Extract from medical history at the touch of a button

Patient record data can be presented in a freely definable manner using a powerful and customizable statement engine. The creation of statements occurs automatically and frees users from the lengthy work of collecting information - a few seconds, and you get a ready statement in the form microsoft document Word.

The most convenient work with certificates of incapacity for work

Working with the new type of disability certificates (approved by Order No. 347n of 01/26/2011) in MedWork is as simple and intuitive as possible. The document "Disability certificate" is attached to the patient's record, MedWork itself fills in most of the fields of the sheet with data from the database or templates. Verified data from MedWork is printed on the form of the temporary disability certificate. All issued certificates of incapacity for work are stored in MedWork.

Statistical reports for all areas of activity

Medwork allows you to receive any statistical reports for any period: on medical work, statistics of visits, morbidity, various financial reports, etc. Creating a new report does not require additional programming and is performed using a special wizard included in Medwork. The open data format makes it possible to access the system from any known report generator.

Convenient scheduling of patient appointments

Users can interactively create a variety of queues, lists of patients for referral to other workplaces. A simple and convenient interface for working with patient groups makes it possible to schedule appointments at any workplace, from a treatment room to planning and keeping track of operating lists

Setting up and developing the system in the process of work by the specialists of the medical institution

Medwork is highly customizable and can be used in any healthcare facility. Concepts such as departments, queue lists, user groups allow for flexible description of the structure of the clinic and the technology of the patient's passage through various stages of the treatment process.

Editing and replenishing the library of introductory forms, statements and reports using a convenient and powerful editor, as well as changes in the structure of the database, can be done in the process and does not require special qualifications. The open system architecture makes possible connection to it software modules developed by users, which allows the system to functionally expand as the clinic expands or new treatment regimens are introduced.

IIA architecture

Medical information system MEDWORK is a complete solution.

The key concept of the system is a profile. For example, profile reception, admission department, guard nurse, procedure nurse,…. etc. In total, within the framework of a Typical Configuration (complete delivery of the system), more than 60 profiles have been developed for different types of medical institutions. All profiles are available for use. A set of profiles forms a Configuration. Configuration examples - Typical (full), Hospital, Polyclinic, Private clinic, Dialysis, IVF clinic, etc. Customers can easily modify and develop profiles and configurations to fit their needs without losing data integrity.

MIS profile selection

Key functionality

"Electronic medical record"

The Electronic Medical Record (EHR) is a convenient automated outpatient patient record or (for hospitals) an electronic medical history. EHR meets the requirements of the state standard "Electronic medical history" (GOST R 52636-2006).

Installed on workplace medical specialists of various profiles: a doctor, a nurse, a laboratory assistant, heads of different levels of a medical institution, as well as wherever there is a need to enter information into a patient's card.

A short list of features:

• Provides users with the ability to quickly and conveniently enter patient information.
• Ensures the safety of access to the EHR, taking into account the rights of users' access to medical information approved by the medical institution.
• Allows you to view the patient's EHR and quickly find the information you need in large volumes of medical records.
• It makes it possible to generate various extracts, certificates, epicrisis on the basis of the EMC, print them and store a copy of these documents.
• Provides the ability to visually view medical data on a patient: diagnoses, a list of prescriptions, build various graphs, etc.
• Allows you to set up convenient protocols for doctors of any specialty.
• It makes it possible to attach various documents to the EHR, for example, voice messages.
• Allows you to electronically transfer the patient's EHR on various media in a format that can be viewed on any computer.
• Closely integrates with almost all modules of the MEDWORK system: service accounting, pharmacy, bed capacity, image processing and others.

Features and Benefits

Fast filling out of an outpatient card and medical history

The entry of examinations, test results and other medical information is done by creating records of various profiles specially designed for doctors of different specialties: therapists, ophthalmologists, surgeons, cardiologists, pulmonologists, etc.

EHR / electronic medical history comes with ready-made input forms, developed in cooperation with doctors and fine-tuned over many years of use of the system in medical institutions.

The system provides tools designed to speed up the typing of text information:

• Contextual directoriesattached to input fields and contain frequently used terms and phrases. The hierarchical structure of directories allows you to automatically construct long phrases. The standard delivery of EMC includes many ready-made reference books that you can expand yourself.
• Mode searchallows you to quickly find the necessary terms in the reference book.
• Tool templatesallows you to copy data from previous records of the medical history, and also makes it easier to enter the same type of information (protocols of operations, medical examinations, etc.).

Entering heterogeneous information

The EHR / Electronic Medical History System MEDWORK offers the clinician a powerful arsenal of data entry tools tailored for a variety of types of information.

The program provides the possibility of typed input, that is, filling in fields of text, numeric, logical types, lists and dates, which in turn provide additional opportunities for collecting statistics and plotting graphs. The schematic editor allows you to make graphical notes and drawings, for example, on the image of the cornea of \u200b\u200bthe eye. EMC can contain images in any of the most common formats.

The data entry tools are varied. They can be universal, highly specialized, with elementary or complex logic of behavior. The open architecture of the program allows you to constantly expand and improve the set of such objects.

Flexible configuration of the database structure and input interface

Data can be entered not only quickly, but also in full accordance with the professional needs of a specialist.

The standard set of screen forms included in the MEDWORK medical information system can be easily changed and expanded by using built-in form editor... Using this convenient tool, the user creates new forms and input fields, changes the appearance of the desktop and the relative position of the main interface objects. Thus, it is possible at any time to reflect in the system new types of studies or to optimize the maintenance of an electronic medical record without resorting to the help of developers.

Switching between data entry mode and edit mode of input forms is instant, but can be locked to protect against unskilled use.

It is also possible to change the structure of the database. You can add fields of different types to tables, change storage formats and

Convenient and quick search for patient information

EHR / electronic medical history of the medical information system MEDWORK was designed in such a way that not only input, but also subsequent viewing and analysis of data were convenient, visual and informative, and any information stored in the MEDWORK database was easily accessible to the user.

An important tool for viewing a medical record is the object "Statement", which reflects the main indicators of the patient's health status, the development of the disease, the prescribed courses of treatment and allows you to quickly switch to any screen of the dossier.

An object "Appointment sheet" shows when and what medications were prescribed to the patient, for how long and what medications were canceled ahead of schedule.
Another interesting feature of the system is the ability to analyze using charts change of any numerical parameters in time.

ICD-10 Handbook

The EHR / electronic medical history contains the reference book "International Classification of Diseases 10th revision", which is used to make diagnoses in a standardized way.

There is an opportunity to formulate your own diagnosis and link it to the "official" ICD diagnosis, as well as many other useful functions.

For example, a doctor can find in the ICD some diagnosis for keyword, MEDWORK will translate it into English using the English version of the ICD and fulfill a request in the medical base MEDLINE on the Internet to search for articles on this topic.

VIDAL® Handbook

The prescription tool is implemented based on the interaction of the MEDWORK system and the built-in database of the VIDAL® electronic directory of medicinal products

Formation of documents for printing

Creation of documents of various types (reports, letters, extracts, conclusions) is the daily work of a doctor. The MEDWORK EHR / EHR provides tools to make this process much easier and also to securely archive all documentation electronically.

Each patient's record contains a set of documents sorted into categories and provided with special descriptors. Ease of classification allows doctors to quickly find the documents they need in the archive.

Working with texts can be carried out either through built-in text editoror using Microsoft Word®.

Data can be copied from the patient record directly to the document.
Letters and other standard documents can be created automatically based on pre-prepared templates. You can add fields from the electronic medical record to templates, which are filled with real data in the process of generating a letter. Documents created from templates are automatically attached to the map and can be edited manually.

Additional automation capabilities

Integration with laboratory and other systems

Integration with laboratory systems significantly increases laboratory productivity and enhances it throughput... The presence of a laboratory module in the system reduces the costs of a medical institution for automation, making it possible to use a unified information system in both medical and diagnostic departments without the need to integrate heterogeneous software products.

The call center will automate the work of registries, receptions, doctors and other departments for incoming calls, as well as organize the information received. Based on the indicators obtained as a result of the Call-center operation, the CC administration will be able to:

• evaluate various aspects of their activities, for example, the effectiveness of advertising campaigns and the dynamics of demand for medical services provided,
• optimize the work of various departments,
• determine the profitability of existing directions,
• to determine promising directions for further development of the CC.

Integration of MIS with other applied systems can be provided, for example: accounting system, personnel, warehouse, etc.

Personal plastic cards

Personal plastic cards can be used in various processes by both patients and employees. For example, using universal plastic cards, users can be identified in the System, preventing unauthorized access, identification of patients in the registry, or the possibility of using a plastic card as an "electronic wallet".

Work at a distance with the timetable of the medical institution through the medihost.ru portal.

The possibility of remote work with the schedule of doctors and offices through the portal www.medihost.ru allows:

• an employee - to work remotely with the System, including with the patient's electronic medical record or in the consultation mode;
• the patient - remotely make an appointment with a specialist, find out the results of his tests, etc.

Additional information services can also improve the efficiency of the hospital network and patient satisfaction. Among such services, the following features can be considered:

Deployment of an information portal that allows:

• Inform patients about the news
• Patients receive the necessary information remotely (for example, find out the results of their tests)
• Allow patients to remotely interact with the network of healthcare facilities (for example, make an appointment with a doctor or cancel an appointment, contact a receptionist using an instant message service)

The year 2019 has come and all medical organizations will need to implement medical information systems, or abbreviated as MIS, without fail.

The advantages of such a system for all employees are obvious:

• For the director of the clinic - a convenient display of statistics on the work of the clinic and a report builder.
• For the clinic administrator - a convenient system for displaying the schedule of each specialist, accounting and printing the necessary documents at the click of a mouse.
• For doctors - appointment reminders, complete medical history, various treatment plans and service price lists.

Now the market for these products in Russia has more than a hundred solutions. In this article, we publish the most popular solutions in the Russian Federation.

Before you start choosing which information system to implement, contact the MIS integration specialists. The main criterion for selecting a future contractor should be implementation experience and knowledge of the specifics of business processes in the clinic.

If suddenly, your MIS does not meet the stated requirements of the Ministry of Health of Russia and you suddenly decide to replace it, then it is worth noting that if you purchased a medical information system as part of the Basic Informatization program, which took place in 2011-2012, you may be charged ineffective use of budget funds.

How to do the right thing in this case:

• Conduct an independent examination of your IIA
• Send a letter to your regional health authority to replace the IIA

Or there is an option to negotiate with the developers to replace the information system, and spend the costs of implementation as a service, and not as a purchase of new software.

The composition of medical information systems for each medical organization may differ in the composition of the included modules.

For example: MIS hospitals need modules - an admission department, maintaining electronic inpatient records of patients, managing a bed fund.

You can read which modules are needed for your organization in the "Methodological Recommendations for Ensuring the Functionality of Medical Information Systems of Medical Organizations" approved by the Ministry of Health of the Russian Federation.

We also recommend that you familiarize yourself with the "Unified Register of Russian Programs for Electronic Computers and Databases", which is located on the website of the Ministry of Communications. You have the right to buy MIS only from those included in this register.

IMPORTANT! Since January 1, 2016, a legislative ban on foreign goods and work has been in effect in the public procurement system!

At this point, with the regulatory part, let me finish and go directly to the overview of the most common medical information systems.

MEDODS

Cost: from 3900 rubles

MEDODS is a new generation medical system. It is used both in private clinics and in public institutions.

It does not require lengthy training to work with the system due to the friendly and simple interface.

It has both the main common features such as making an appointment and invoicing, and powerful marketing modules.

The main advantage for which it is most often chosen is the cost of MEDODS, it is very democratic and quickly pays for itself.

MEDODS includes:

• Cloud solution
• SMS and email notification of patients
• Online appointment with a doctor
• Different protocol templates
• Patient electronic medical record
• Possibility of warehouse accounting
• Generating reports
• Integration with online cash registers
• Integration with laboratories
• Integration with booking portals
• Integration with telephony

Medesk

Cost: on request

The management of a private clinic using the Medesk medical system is a combination of modern technology and medicine.

The system is distinguished by a simple and intuitive interface, which makes it easy for your specialists to master the work with the system.

Medesk includes:

• Cloud solution
• SMS notification of patients
• Online appointment with a doctor
• Different protocol templates
• Integration with online cash registers
• Remote work in counseling patients

MedElement

The main goal of the MedElement developers is to improve the quality of medical services for the population.

The main advantages of the system are:

• Cloud storage
• Doctor's electronic office system
• Large base of medical reference books
• The mobile application can be downloaded for free
• Separate module for automation of the clinic's catering unit
• Frequent updates to the medical system

Clinic365

Cost: from 25,000 rubles.

This medical information system has a user-friendly interface for all the main functions of the medical information system.

This decision includes modules such as:

• patient card file
• timetable
• medical document flow
• finance to control payments.

The main feature of MIS Clinic365 is the ability to build an algorithm for working with a patient. The card includes information such as the client's preference, history of contacts with the patient, and of course medical information.

There is a powerful technical support product.

Infoclinic

Cost: from 25,000 rubles.

The medical information system "INFOCLINICA" will help to build a structured information space for a medical clinic. This solution will be convenient for both patients and clinic staff.

MIS "Informatika" has all the necessary tools that allows you to easily set up integration with other systems of your clinic, as well as allows you to set up flexible communication with patients.

The system includes many prepared report templates, protocols, case histories.

IDENT

Cost: from 4900 rubles per month

IDENT is a medical information system for dentists that will help you avoid paperwork with patients. A distinctive feature will be that it was created under the guidance of dentists and for dentists themselves.

There are several versions of the MIS, the difference is in the number of included modules.

Even with basic functionality, the information system will allow you to:

• Quickly handle scheduling and appointments
• Keep accounting
• Quickly print documents for a patient
• Conduct statistical reports

ClinicIQ

Cost: from 2400 rubles per month

This product is online service for dentists and medical centers.

Has a wide range of functionality from the patient base to invoicing and accounting.

There is integration with the DocDoc portal and the Viber messenger. The main advantage of this service is a very well thought out system of appointment and patient registration.

MedWork

Price: 69 900 rubles

System customization is MedWork's trump card.

Each clinic, be it a small clinic or a large one, has its own nuances. The MedWork system is designed in such a way that the architecture is based on the initial variability of settings for any task.

There is a convenient WYSIWYG editor that allows you to edit any form of service for the tasks of the clinic

MedOffice

Price: 16,990 rubles

One of the oldest medical systems. Development dates back to the mid-90s.

The system is designed to optimize and automate the work of both outpatient clinics and hospitals as much as possible. There is a system of registration of medicines.

It is also worth noting the built-in Call-center and API. It is possible to make an appointment in advance, there is a call-center and API for integration. In order to learn how to operate this system, there are many video tutorials.

Renovatio

Cost: from 24,000 rubles

This medical information system has an intuitive interface that allows you to easily master it at the start.

There is a possibility of automatic import into the system, for example, you can quickly draw up a price list for your services and upload it to Renovatio.

There is a convenient built-in editor of printed forms.

1C-Rarus: Attending physician

Cost: from 10,000 rubles

This system developed with the participation of leading experts who are engaged in medical practice. 1C-Rarus: The attending physician aims to reduce the time of patient admission and stores the entire history of visits to the doctor.

The system also includes such functions as a classifier of diseases, templates of basic documents, an appointment planner, SMS mailing with a reminder of an appointment, Email reports on the results of the examination.

It is convenient to work with the system both from a computer and from a smartphone or tablet.

BARS.Honey

BARS.Med allows in the shortest possible time to transfer all the work of a medical clinic from paper to electronic view... Easy to customize for the needs of the clinic.

Of the main functions, it is worth noting the presence of a remote appointment and creating an electronic patient card.

Also, using this system, you can easily build the business processes of your clinic.

MeduzaPRO

Cost: from 2800 rubles per month

MeduzaPro is a cloud service for automating the work of a medical clinic.

The system, in addition to keeping outpatient cards, also allows you to create mailings in the form of SMS messages to patients (advertising, congratulatory, informational).

It is possible to make an appointment with a doctor online. This function has a database in which doctors' work schedules are recorded, which allows the patient to always see free hours and days of admission.

Implemented personal Area patient, where the entire history of visits is stored, as well as analyzes and examinations. All documents can be downloaded.

There is a possibility of integration with a touchscreen, where patients in the lobby of clinics can automatically make an appointment.

Medialogue

Cost: from 82 500 rubles

The interface of the MEDIALOG system is quite easy to learn for the user. A system of prompts about the operation of the system has been configured, work with filling out forms has been simplified by automatically filling in typical information.

MEDIALOG is a modular system, you can buy each module separately, which allows you not to overpay for unnecessary functionality.

The second advantage of the modular system is its easy scalability.

MGERM

Cost: from 27,900 rubles per month, installments for 12 months.

The system allows you to work with a large database without losing performance.

There is a flexible control tool for the clinic management.

The case history system was created by physicians and for physicians.

The system design has a minimalistic design, which allows you to work with the system without being distracted by unnecessary interface elements.

The system has open source and allows you to work with the system without involving third-party developers.

BIT: Medical Center Management

Cost: from 3600 rubles

BIT. Management of a medical center is a system that aims to reduce the costs of working in a medical center.

Three advantages of this system

• Simple and convenient work for the staff.
• Flexible control over all areas of the clinic's activities: finance, staff, patients.
• Customer focus. Informing patients by SMS, thorough medical history, clinic promotions, certificates for patients.

IntraMed

Cost: on request

The Intramed system became the best in 2010 in the competition held by the Ministry of Health of the Russian Federation.

Advantages of MIS Intramed:

• powerful reporting system for a medical clinic;
• service quality control system and their comparison with standards;
• the knowledge base about the patient collects data for a long period about all changes in health;
• built-in system of online recording and contact center;
• all personal data about patients is stored in a separate module of the system

Medix CRM

Cost: from 29 900 rubles

Medix CRM is a modular medical system made in a minimalistic design.

Key Features:

• A clear distribution of roles (everyone sees only what they are responsible for)
• Flexible configuration allows you to easily create both departments and personnel
• Fight against routine, all templates of basic documents are included in the system and are automatically filled in
• Planning system, separately for doctors, separately for departments of a medical clinic
• Powerful analytical center, easy to get statistics on finance and employee hours.

MIS Medical examination

Cost: on request

The system is designed to simplify and speed up such a process as medical examination. Only the best solutions in this area are implemented in this system.

Thanks to the Medical Examination system, you can:

• build a control system for your personnel
• up to 90% reduce the time for an appointment
• the ability to customize the functionality
• automatic generation of frequently completed documents
• patient examination results are available without getting up from the office chair
• flexible queuing system

ArchiMed +

Cost: on request

Clinics choose the ArchiMed + medical information system due to its modules:

• Reports module - allows you to create more than 15 reports in two clicks
• Doctor module - allows you to fill out a medical history in the shortest possible time, thereby reducing the time of one appointment
• Info-Plasma module - this module will show the real employment of doctors and reduce queues at the clinic
• Self-recording terminal - we all know that sometimes the reception cannot handle it, the patient self-recording module will come to the rescue

And also you get:

• Integrated IP telephony
• Working with online cash registers
• Notification of patients by SMS
• Laboratory module, thanks to which all analyzes automatically enter the medical history

Cost: from 1900 rubles per month

Medical information system Medmis has both a boxed version and a cloud version.

Medis has a simple control panel for information system functions. Of the obvious features of such simplicity, we can single out the ability to display all doctors' schedules on one page and the ability to reserve appointments.

There is also an excellent form builder for medical records.

According to 54FZ, everyone is required to have online cash registers. So Medmis fully supports the integration of work with online cash registers.

Ident24

Cost: from 3315 rubles per month

The medical information system for dental clinics IDENT24 is good for both clinic directors and in-house specialists.

"Healthcare" (LLC "COMTEK")

Cost: from 99,000 rubles.

The software complex / Medical information system (PC / MIS) "Health" is intended (a) for full-fledged maintenance of electronic medical records (EMR), automation of the treatment and diagnostic process and accounting activities of large medical institutions of various profiles. MIS "Health" has been successfully operating for 13 years in large medical institutions of the Russian Federation. The system is built taking into account the specifics of domestic medicine and in the best way forms the business model of a medical organization.

The main list of solutions MIS "Health":

• Polyclinic
• Hospital
• Dentistry
• Highly specialized assistance
• Automation of individual services
• Paid services
• Data upload and reporting
• Patient communication system

Finally

Any medical information system is aimed at optimizing processes in the clinic. Reduced paperwork and increased time spent on patients by your specialists.

Your patients and doctors will be happy and grateful for the introduction of the medical information system only after it has been fully mastered. Problems during the implementation phase are normal practice.

Do you need to implement MIS in the clinic? for a free consultation. And we will create an action plan for you !.